Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Health Endocrinology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON (CRO)
(910) 671-5083
Entity
Organization
Contact information
Practice address
4901 DAWN DR STE 3300, LUMBERTON, NC 28360-8288
(910) 671-5410
(910) 735-8695
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
05/10/2022
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